Postoperative Complications of Thyroid Surgery: A Corroborative Study with an Overview of Evolution of Thyroid Surgery

Bansal, Chetan; Bhardwaj, Aparna; Rathi, Sonam; Agrahari, Alok Kumar; Singh, Virendra

doi:10.5005/jp-journals-10001-1245

Cited by 9 publications

(3 citation statements)

References 20 publications

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“…Even though there has been a trend towards performing procedures as an outpatient as permitted by advancements in anesthetic and surgical techniques (Steward, 2014) again, patients are more inclined to perform inpatient thyroidectomy due to significant comorbidity, simultaneous neck, and mediastinal procedures, and social circumstances not conducive to outpatient surgery (Balentine & Sippel, 2016; Sahmkow et al, 2012;S⊘rensen & Klug, 2015). In this study, we found that the rates of complications after total thyroidectomy surgery are relatively high compared to previously reported data from another study (Pandey et al, 2015). We found that patients older than 41 years old and with one or more comorbid conditions were at increased risk for postoperative complications.…”

Section: Discussioncontrasting

confidence: 44%

Risk of Complications in Patients Undergoing Complete Thyroidectomy. A Retrospective Study

Kokalari¹,

Shundi

Abazaj

et al. 2023

ESJ

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Introduction: The main aim of this study was to determine the influence of surgery on postoperative complications in patients undergoing total thyroidectomy. Methods: Patients diagnosed with goiter and undergoing total thyroidectomy for more than ten years were retrospectively enrolled, and the main study outcomes were postoperative complications. Statistical analysis was done by chi-square and t-test with a p-value <0.05 as significant. Results: A total of 116 patients with goiter were identified (mean age, 45.3 ± 8.75 years, with minimum and maximum age of 23 to 69). The most affected age with goiter resulted in 41-50 years old with 41.4% (95% CI, 37.4 to 45.8%). The majority of patients with goiter were women (85.3%), with a mean age of 47 years. After the thyroid surgery, male patients had significantly higher rates of hospital readmission than females with a risk ratio [RR] of 1.05; 95% CI [0.67–1.52], p-value = 0.02. Either hemorrhage/hematoma occurred in 4.7% and cardiopulmonary and thromboembolic events in 3.1% of the patients undergoing total thyroidectomy. In addition, either hypoparathyroidism was observed in 3.1% and temporary recurrent laryngeal nerve palsy (RLN) in 1.56%. Conclusion: The current study demonstrates that total thyroidectomy is associated with an increased rate of hemorrhagic complications. RLN palsies and hypoparathyroidism are less observed. Male patients undergoing thyroidectomy have higher rates of readmission and ICU admission. Furthermore, male patients revealed higher rates of hemorrhage and wound infection, while hypoparathyroidism or temporary recurrent laryngeal nerve palsy was more frequent among female patients.

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Section: Discussioncontrasting

confidence: 44%

Risk of Complications in Patients Undergoing Complete Thyroidectomy. A Retrospective Study

Kokalari¹,

Shundi

Abazaj

et al. 2023

ESJ

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“…Alqahtani et al found that in Saudi Arabia, females reported more complications than males among all patients who had undergone thyroidectomies [ 10 ]. A 2013 study by Pandey et al found that 70 out of 80 patients were females [ 11 ]. A 2021 study by Alqahtani et al found that 151 of 182 patients were females [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Post-operative Complications in Patients Undergoing Thyroid Surgery in a Tertiary Care Hospital in Eastern India

Mishra¹,

Mohapatra²,

Srivastava³

et al. 2023

Cureus

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Background Thyroid surgeries, among the most common surgical procedures globally, present with varied complications. This study is aimed at identifying the complications and selected variables associated with thyroid surgery. Methods In this cross-sectional, retrospective, record-based study, a total of 107 patients who underwent thyroidectomies and satisfied the inclusion criteria, were recruited using convenience sampling technique. This study was conducted at a tertiary care hospital from January 2021 to December 2021. Data were collected from medical records using a researcher-created data extraction form after ethical approval from the institutional ethics committee. The data were analyzed using Epi Info software (Atlanta, GA: Centers for Disease Control and Prevention), with a p-value of <0.05 considered to be statistically significant. Results Of the 107 patients who underwent thyroidectomies, 92 (85.9%) reported one or more complications. Complications were most common (90.2% of patients) in the 25-34 years age group and among females (83.3%). The most common complications were dysphagia (30.84% of patients), voice change (21.50%), and respiratory obstruction (8.41%). Temporary hypocalcemia developed in 3.74% of these patients, while tracheal injury and hematoma were documented in 3.74% and 1.87%, respectively. Tobacco users (14.9%), alcohol users (16.8%), those eating a non-vegetarian diet (61.9%), and those eating saturated fats (13.0%) suffered more complications. Family history (p=0.03) was found to be significantly associated with complications. Conclusion The most common post-thyroidectomy complications in this group of patients were dysphagia and voice change, while hypocalcemia, tracheal injury, and hematoma were rare complications. Tobacco users and alcohol users reported more complications. Complications were more common in those with a family history of thyroid disease and those who were underweight.

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“…Sound knowledge of the thyroid anatomy and surgical nuances of thyroidectomy determine the outcomes and limit the post-operative complications. 4 Ramirez et al stated that post-operative complications are directly related to the expanse of thyroidectomy and have an inverse relation with the surgeon's expertise. 5 Despite the magnitude of the problem in routine clinical practice, the studies investigating the incidences of thyroidectomy complications and their predictive factors in this region of the country are very limited.…”

Section: Introductionmentioning

confidence: 99%

Complications of thyroidectomy: Insights from a single-centre study in northeast India

Baral,

Borgohain,

Timungpi

2024

IJOAS

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To study and compare the frequency of post-operative complications associated with thyroid surgeries indicated for various benign and malignant pathologies and assess the outcome of management of such complications in a tertiary care hospital in Northeast India. An analytical study was done at a tertiary care hospital in Assam over a period of 1 year from May 2022 to June 2023. Data was collected from 53 patients who underwent surgery at this hospital. Hemithyroidectomy, subtotal, near-total, and total thyroidectomies were performed in 31(58.4%), 2 (3.7%), 6 (11.3%) and 14 (26.4%) cases respectively. The overall rate of complications was 39.6%. Permanent hypocalcaemia was observed to be the most common complication, followed by transient hypocalcaemia and transient recurrent laryngeal nerve palsy. The complications were found to be more frequent in surgery for malignant thyroid disease. There was no mortality in our study. A better understanding of thyroid gland anatomy, meticulous haemostasis and Identification of Recurrent laryngeal nerve and parathyroid glands lead to favourable post-operative outcomes. Appropriate post-operative care with early identification and management of complications plays an essential role in reducing the duration of postoperative hospital stay and limiting patient morbidity.

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Postoperative Complications of Thyroid Surgery: A Corroborative Study with an Overview of Evolution of Thyroid Surgery

Cited by 9 publications

References 20 publications

Risk of Complications in Patients Undergoing Complete Thyroidectomy. A Retrospective Study

Risk of Complications in Patients Undergoing Complete Thyroidectomy. A Retrospective Study

Assessment of Post-operative Complications in Patients Undergoing Thyroid Surgery in a Tertiary Care Hospital in Eastern India

Complications of thyroidectomy: Insights from a single-centre study in northeast India

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